Sample Record
Owner Lab
- Con-Fab California Corporation - Lathrop
DIME Sample ID 2024-10-11-20
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000409 DEA: 051S1604 EFIS: 0524000176 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-1-60 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Rocky Creek Slip Out Permanent Restoration Project |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/26/2024) |
Sample Information
| Sample Taken Date | 10/11/2024 | Sample Unique Key | 20 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 10/11/2024 |
| Sample type | Quality Control | A brief description of the sample | 1 Bucket of 1/2", 1 Bucket of 3/8", One Bucket of Sand |
| The quantity of what the sample constitutes | 1 Bucket of 1/2", 1 Bucket of 3/8", One Bucket of Sand | From where was the sample collected | Source |
| First name of sampler or witnessed by | Mark Patrick | Last name of sampler or witnessed by | Baddu |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | ConFab Lathrop | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Con-Fab California, LLC |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Storage Bin | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | VER-95LV | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-10-11-20-1 ASTM C566-19 (Verified)